@extends('layouts.app')
@section('content')
    <div class="table-responsive custom-table-s1">
        <table class="participant_table" width="100%">
            <thead>
                <tr>
                    <th>Create Agent</th>
                </tr>
            </thead>
            <tbody>
                <tr>
                    <td>
                        <div class="row">
                            <div class="col-xl-12">
                                <div class="card forms-card">
                                    <div class="card-body">
                                        <div class="basic-form">
                                            <form class="m-form m-form--state" name="frm-create" id="frm-create"
                                                method="post" action="{{ url('admin/agent/create/store') }}"
                                                enctype="multipart/form-data">
                                                @csrf
                                                <div class="outer-div">
                                                    <div class="inner-div">
                                                        <div class="form-group row">
                                                            <div class="col-sm-6">
                                                                <div
                                                                    class="form-group @if ($errors->has('company_name')) has-error @endif">
                                                                    <label class="text-label" for="company_name">
                                                                        @if ($errors->has('company_name'))
                                                                            <i class="fa fa-times-circle-o"
                                                                                style="color:red;"></i>
                                                                        @endif
                                                                        Company Name
                                                                    </label>
                                                                    @error('company_name')
                                                                        <div class="error" style="color:red;">
                                                                            {{ $message }}</div>
                                                                    @enderror
                                                                    <input type="text" name="company_name"
                                                                        id="company_name" class="form-control"
                                                                        value="">
                                                                </div>
                                                            </div>
                                                            <div
                                                                class="form-group @if ($errors->has('company_registration_number')) has-error @endif">
                                                                <label class="text-label" for="company_registration_number">
                                                                    @if ($errors->has('company_registration_number'))
                                                                        <i class="fa fa-times-circle-o"
                                                                            style="color:red;"></i>
                                                                    @endif
                                                                    Registration Number
                                                                </label>
                                                                @error('company_registration_number')
                                                                    <div class="error" style="color:red;">
                                                                        {{ $message }}</div>
                                                                @enderror
                                                                <input type="text" name="company_registration_number"
                                                                    id="company_registration_number" class="form-control"
                                                                    value="">
                                                            </div>
                                                        </div>
                                                        <div class="form-group row">
                                                            <div class="col-sm-6">
                                                                <div
                                                                    class="form-group @if ($errors->has('company_address')) has-error @endif">
                                                                    <label class="text-label" for="company_address">
                                                                        @if ($errors->has('company_address'))
                                                                            <i class="fa fa-times-circle-o"
                                                                                style="color:red;"></i>
                                                                        @endif
                                                                        Company Address
                                                                    </label>
                                                                    @error('company_address')
                                                                        <div class="error" style="color:red;">
                                                                            {{ $message }}</div>
                                                                    @enderror
                                                                    <input type="text" name="company_address"
                                                                        id="company_address" class="form-control"
                                                                        value="">
                                                                </div>
                                                            </div>
                                                            <div class="col-sm-6">
                                                                <div
                                                                    class="form-group @if ($errors->has('company_telephone')) has-error @endif">
                                                                    <label class="text-label" for="company_telephone">
                                                                        @if ($errors->has('phone'))
                                                                            <i class="fa fa-times-circle-o"
                                                                                style="color:red;"></i>
                                                                        @endif
                                                                        Company Telephone
                                                                    </label>
                                                                    @error('company_telephone')
                                                                        <div class="error" style="color:red;">
                                                                            {{ $message }}</div>
                                                                    @enderror
                                                                    <input type="text" name="company_telephone"
                                                                        id="company_telephone" class="form-control"
                                                                        value="">
                                                                </div>
                                                            </div>
                                                        </div>
                                                        <div class="form-group row">
                                                            <div class="col-sm-6">
                                                                <div
                                                                    class="form-group @if ($errors->has('company_email')) has-error @endif">
                                                                    <label class="text-label" for="company_email">
                                                                        @if ($errors->has('company_email'))
                                                                            <i class="fa fa-times-circle-o"
                                                                                style="color:red;"></i>
                                                                        @endif
                                                                        Company Email
                                                                    </label>
                                                                    @error('company_email')
                                                                        <div class="error" style="color:red;">
                                                                            {{ $message }}</div>
                                                                    @enderror
                                                                    <input type="email" name="company_email"
                                                                        id="company_email" class="form-control"
                                                                        value="">
                                                                </div>
                                                            </div>
                                                            <div class="col-sm-6">
                                                                <div
                                                                    class="form-group @if ($errors->has('bank_name')) has-error @endif">
                                                                    <label class="text-label" for="bank_name">
                                                                        @if ($errors->has('bank_name'))
                                                                            <i class="fa fa-times-circle-o"
                                                                                style="color:red;"></i>
                                                                        @endif
                                                                        Bank Name
                                                                    </label>
                                                                    @error('bank_name')
                                                                        <div class="error" style="color:red;">
                                                                            {{ $message }}</div>
                                                                    @enderror
                                                                    <input type="text" name="bank_name" id="bank_name"
                                                                        class="form-control" value="">
                                                                </div>
                                                            </div>
                                                        </div>
                                                        <div class="form-group row">
                                                            <div class="col-sm-6">
                                                                <div
                                                                    class="form-group @if ($errors->has('account_number')) has-error @endif">
                                                                    <label class="text-label" for="account_number">
                                                                        @if ($errors->has('account_number'))
                                                                            <i class="fa fa-times-circle-o"
                                                                                style="color:red;"></i>
                                                                        @endif
                                                                        Account Number
                                                                    </label>
                                                                    @error('account_number')
                                                                        <div class="error" style="color:red;">
                                                                            {{ $message }}</div>
                                                                    @enderror
                                                                    <input type="text" name="account_number"
                                                                        id="account_number" class="form-control"
                                                                        value="">
                                                                </div>
                                                            </div>
                                                            <div class="col-sm-6">
                                                                <div
                                                                    class="form-group @if ($errors->has('account_type')) has-error @endif">
                                                                    <label class="text-label" for="account_type">
                                                                        @if ($errors->has('account_type'))
                                                                            <i class="fa fa-times-circle-o"
                                                                                style="color:red;"></i>
                                                                        @endif
                                                                        Account Type
                                                                    </label>
                                                                    @error('account_type')
                                                                        <div class="error" style="color:red;">
                                                                            {{ $message }}</div>
                                                                    @enderror
                                                                    <input type="text" name="account_type"
                                                                        id="account_type" class="form-control"
                                                                        value="">
                                                                </div>
                                                            </div>
                                                        </div>
                                                        <div class="form-group row">
                                                            <div class="col-sm-6">
                                                                <div
                                                                    class="form-group @if ($errors->has('bank_address')) has-error @endif">
                                                                    <label class="text-label" for="bank_address">
                                                                        @if ($errors->has('bank_address'))
                                                                            <i class="fa fa-times-circle-o"
                                                                                style="color:red;"></i>
                                                                        @endif
                                                                        Bank Address
                                                                    </label>
                                                                    @error('bank_address')
                                                                        <div class="error" style="color:red;">
                                                                            {{ $message }}</div>
                                                                    @enderror
                                                                    <input type="text" name="bank_address"
                                                                        id="bank_address" class="form-control"
                                                                        value="">
                                                                </div>
                                                            </div>
                                                            <div class="col-sm-6">
                                                                <div
                                                                    class="form-group @if ($errors->has('incharge_name')) has-error @endif">
                                                                    <label class="text-label" for="incharge_name">
                                                                        @if ($errors->has('incharge_name'))
                                                                            <i class="fa fa-times-circle-o"
                                                                                style="color:red;"></i>
                                                                        @endif
                                                                        Incharge name
                                                                    </label>
                                                                    @error('incharge_name')
                                                                        <div class="error" style="color:red;">
                                                                            {{ $message }}</div>
                                                                    @enderror
                                                                    <input type="text" name="incharge_name"
                                                                        id="incharge_name" class="form-control"
                                                                        value="">
                                                                </div>
                                                            </div>
                                                        </div>
                                                        <div class="form-group row">
                                                            <div class="col-sm-6">
                                                                <div
                                                                    class="form-group @if ($errors->has('incharge_designation')) has-error @endif">
                                                                    <label class="text-label" for="incharge_designation">
                                                                        @if ($errors->has('incharge_designation'))
                                                                            <i class="fa fa-times-circle-o"
                                                                                style="color:red;"></i>
                                                                        @endif
                                                                        Incharge designation
                                                                    </label>
                                                                    @error('incharge_designation')
                                                                        <div class="error" style="color:red;">
                                                                            {{ $message }}</div>
                                                                    @enderror
                                                                    <input type="text" name="incharge_designation"
                                                                        id="incharge_designation" class="form-control"
                                                                        value="">
                                                                </div>
                                                            </div>
                                                            <div class="col-sm-6">
                                                                <div
                                                                    class="form-group @if ($errors->has('incharge_address')) has-error @endif">
                                                                    <label class="text-label" for="incharge_address">
                                                                        @if ($errors->has('incharge_address'))
                                                                            <i class="fa fa-times-circle-o"
                                                                                style="color:red;"></i>
                                                                        @endif
                                                                        Incharge Address
                                                                    </label>
                                                                    @error('incharge_address')
                                                                        <div class="error" style="color:red;">
                                                                            {{ $message }}</div>
                                                                    @enderror
                                                                    <input type="text" name="incharge_address"
                                                                        id="incharge_address" class="form-control"
                                                                        value="">
                                                                </div>
                                                            </div>
                                                        </div>
                                                        <div class="form-group row">
                                                            <div class="col-sm-6">
                                                                <div
                                                                    class="form-group @if ($errors->has('idenitity_proof')) has-error @endif">
                                                                    <label class="text-label" for="idenitity_proof">
                                                                        @if ($errors->has('idenitity_proof'))
                                                                            <i class="fa fa-times-circle-o"
                                                                                style="color:red;"></i>
                                                                        @endif
                                                                        Idenitity proof
                                                                    </label>
                                                                    @error('idenitity_proof')
                                                                        <div class="error" style="color:red;">
                                                                            {{ $message }}</div>
                                                                    @enderror
                                                                    <input type="text" name="idenitity_proof"
                                                                        id="idenitity_proof" class="form-control"
                                                                        value="">
                                                                </div>
                                                            </div>
                                                            <div class="col-sm-6">
                                                                <div
                                                                    class="form-group @if ($errors->has('identity_number')) has-error @endif">
                                                                    <label class="text-label" for="identity_number">
                                                                        @if ($errors->has('identity_number'))
                                                                            <i class="fa fa-times-circle-o"
                                                                                style="color:red;"></i>
                                                                        @endif
                                                                        Identity Number
                                                                    </label>
                                                                    @error('identity_number')
                                                                        <div class="error" style="color:red;">
                                                                            {{ $message }}</div>
                                                                    @enderror
                                                                    <input type="text" name="identity_number"
                                                                        id="identity_number" class="form-control"
                                                                        value="">
                                                                </div>
                                                            </div>
                                                        </div>
                                                        <div class="form-group row">
                                                            <div class="col-sm-6">
                                                                <div
                                                                    class="form-group @if ($errors->has('drive_permit')) has-error @endif">
                                                                    <label class="text-label" for="drive_permit">
                                                                        @if ($errors->has('drive_permit'))
                                                                            <i class="fa fa-times-circle-o"
                                                                                style="color:red;"></i>
                                                                        @endif
                                                                        Drive Permit
                                                                    </label>
                                                                    @error('drive_permit')
                                                                        <div class="error" style="color:red;">
                                                                            {{ $message }}</div>
                                                                    @enderror
                                                                    <input type="text" name="drive_permit"
                                                                        id="drive_permit" class="form-control"
                                                                        value="">
                                                                </div>
                                                            </div>
                                                            <div class="col-sm-6">
                                                                <div
                                                                    class="form-group @if ($errors->has('agent_cellular')) has-error @endif">
                                                                    <label class="text-label" for="agent_cellular">
                                                                        @if ($errors->has('agent_cellular'))
                                                                            <i class="fa fa-times-circle-o"
                                                                                style="color:red;"></i>
                                                                        @endif
                                                                        Agent Cellular
                                                                    </label>
                                                                    @error('agent_cellular')
                                                                        <div class="error" style="color:red;">
                                                                            {{ $message }}</div>
                                                                    @enderror
                                                                    <input type="text" name="agent_cellular"
                                                                        id="agent_cellular" class="form-control"
                                                                        value="">
                                                                </div>
                                                            </div>
                                                        </div>
                                                        <div class="form-group row">
                                                            <div class="col-sm-6">
                                                                <div
                                                                    class="form-group @if ($errors->has('agent_email')) has-error @endif">
                                                                    <label class="text-label" for="agent_email">
                                                                        @if ($errors->has('agent_email'))
                                                                            <i class="fa fa-times-circle-o"
                                                                                style="color:red;"></i>
                                                                        @endif
                                                                        Agent Email
                                                                    </label>
                                                                    @error('agent_email')
                                                                        <div class="error" style="color:red;">
                                                                            {{ $message }}</div>
                                                                    @enderror
                                                                    <input type="email" name="agent_email"
                                                                        id="agent_email" class="form-control"
                                                                        value="">
                                                                </div>
                                                            </div>
                                                            <div class="col-sm-6">
                                                                <div
                                                                    class="form-group @if ($errors->has('agent_occupation')) has-error @endif">
                                                                    <label class="text-label" for="agent_occupation">
                                                                        @if ($errors->has('agent_occupation'))
                                                                            <i class="fa fa-times-circle-o"
                                                                                style="color:red;"></i>
                                                                        @endif
                                                                        Agent Occupation
                                                                    </label>
                                                                    @error('agent_occupation')
                                                                        <div class="error" style="color:red;">
                                                                            {{ $message }}</div>
                                                                    @enderror
                                                                    <input type="text" name="agent_occupation"
                                                                        id="agent_occupation" class="form-control"
                                                                        value="">
                                                                </div>
                                                            </div>
                                                        </div>
                                                        <div class="col-sm-6">
                                                            <div
                                                                class="form-group @if ($errors->has('identity_file')) has-error @endif">
                                                                <label class="text-label" for="identity_file">
                                                                    @if ($errors->has('identity_file'))
                                                                        <i class="fa fa-times-circle-o"
                                                                            style="color:red;"></i>
                                                                    @endif
                                                                    Identity File
                                                                </label>
                                                                @error('identity_file')
                                                                    <div class="error" style="color:red;">
                                                                        {{ $message }}</div>
                                                                @enderror
                                                                <input type="file" name="identity_file"
                                                                    id="identity_file" class="form-control"
                                                                    value="">
                                                                {{-- <img src="{{ asset('storage/agent_documents') }}/"
                                                                    alt=""> --}}
                                                            </div>
                                                        </div>
                                                    </div>
                                                </div>
                                        </div>
                                        <div class="inner-div">
                                            <div class="form-group">
                                                <div class="d-flex justify-content-end">
                                                    <a href="#" class="btn btn-default  btn-form mr-3">Cancel</a>
                                                    <button type="submit"
                                                        class="btn btn-primary btn-form">Submit</button>
                                                </div>
                                            </div>
                                        </div>
                                        </form>
                                    </div>
                                </div>
                            </div>
                        </div>
                        {{-- </div> --}}
                    </td>
                </tr>
            </tbody>
        </table>
    </div>
@endsection
@push('scripts')
    <script>
        @if (Session::has('message'))
            toastr.options = {
                "closeButton": true,
                "progressBar": true
            }
            toastr.success("{{ session('message') }}");
        @endif

        @if (Session::has('error'))
            toastr.options = {
                "closeButton": true,
                "progressBar": true
            }
            toastr.error("{{ session('error') }}");
        @endif

        @if (Session::has('info'))
            toastr.options = {
                "closeButton": true,
                "progressBar": true
            }
            toastr.info("{{ session('info') }}");
        @endif

        @if (Session::has('warning'))
            toastr.options = {
                "closeButton": true,
                "progressBar": true
            }
            toastr.warning("{{ session('warning') }}");
        @endif
    </script>
@endpush